Organization
ASPEN LEAF ASSISTED LIVING RESIDENCE - STRATTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY R DYER (ADMINISTRATOR)
(303) 906-1643
Entity
Organization
Contact information
Practice address
410 MAIN ST, STRATTON, CO 80836-1115
(303) 906-1643
Mailing address
PO BOX 426, FLAGLER, CO 80815-0426
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000105939
—
CO
Enumeration date
12/08/2019
Last updated
12/15/2019
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